The question comes down to whether hospitals are investing enough time in training their surgeons, many of whom only learned traditional surgery techniques during med school and residency. Guru said his independent system uses virtual reality video of actual surgeries to give surgeons a realistic way to train and learn, and to refresh their skills, without actually touching a real patient.

“They can take their time, they can learn and they don’t have to harm a patient while they’re learning,” he said. “We need as many tools as we can have to train people well.”

About a year ago, the company shifted manufacturing to Sealing Devices in Orchard Park, which sold four systems in first quarter 2013, including to hospitals in Japan and Italy. That’s up from just three systems sold in all of 2012.

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